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General NPI Number Information
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NPI Number | 1144274002
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Entity Type | Individual
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Provider Name | PATRICIA KONING GNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 7100 STADIUM DR
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City | KALAMAZOO
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State | MI
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Zip | 49009-9423
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Country | US
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Telephone | 269-345-0273
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 STADIUM DR
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City | KALAMAZOO
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State | MI
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Zip | 49009-9423
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Country | US
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Telephone | 231-349-1306
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704160886
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License Number State | MI
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